With his classic Why We Get Sick, Dr. Randolph Nesse helped to establish the field of evolutionary medicine. Now he returns with a book that transforms our understanding of mental disorders by exploring a fundamentally new question. Instead of asking why certain people suffer from mental illness, Nesse asks why natural selection has left us all with fragile minds.Drawing on revealing stories from his own clinical practice and insights from evolutionary biology, Nesse shows how negative emotions are useful in certain situations, yet can become overwhelming. Anxiety protects us from harm in the face of danger, but false alarms are inevitable. Low moods prevent us from wasting effort in pursuit of unreachable goals, but they often escalate into pathological depression. Other mental disorders, such as addiction and anorexia, result from the mismatch between modern environment and our ancient human past. And there are good evolutionary reasons for sexual disorders and for why genes for schizophrenia persist. Taken together, these and many more insights help to explain the pervasiveness of human suffering, and show us new paths for relieving it by understanding individuals as individuals.

     Early studies of the functions of the human brain used a simple method: wait for misfortune to strike-strokes, seizures, infectious diseases, lobotomies, horrendous accidents-and see how the victim coped. In many cases survival was miraculous, and observers could only marvel at the transformations that took place afterward, altering victims' personalities. An injury to one section can leave a person unable to recognize loved ones; some brain trauma can even make you a pathological gambler, pedophile, or liar. But a few scientists realized that these injuries were an opportunity for studying brain function at its extremes. With lucid explanations and incisive wit, Sam Kean explains the brain's secret passageways while recounting forgotten stories of common people whose struggles, resiliency, and deep humanity made modern neuroscience possible.

    Wife of a CEO, mother of three, living in a beautiful suburb, Sonja’s life appears ideal. How did she get here?In a gripping and breathtaking narrative that makes the reader feel as though they are listening in on a private conversation, Sonja tells the compelling real account of her struggle with marriage, motherhood, and mental illness.An Impossible Life is an unforgettable true story of perseverance when all hope seems lost. Intriguing and heartfelt, Sonja’s personal account of her mental health journey shines a beacon of hope to all who feel overwhelmed by the specter of mental illness.

    Through them we are able to uncover new information concerning the genetic and environmental factors affecting who we are. Studies using identical and fraternal twins hold the keys to understanding our intellectual abilities, personality traits, social attitudes, and behavior. In Entwined Lives, Dr. Nancy Segal brings together cutting-edge information with illustrative case histories of twins and their families. In addition to the fascinating stories of identical twins reared apart and reunited as adults, Dr. Segal provides insights into the unusual language patterns of twins, how twin studies affect legal decisions, the role of fertility treatments in twin and "twinlike" conceptions, and more. This groundbreaking book explores the ways in which twins enhance our knowledge of human behavioral and physical development, while shedding new light on the nature/nurture debate and on the burgeoning field of evolutionary psychology.

    In a book of unprecedented scope, McGilchrist draws on a vast body of recent brain research, illustrated with case histories, to reveal that the difference is profound—not just this or that function, but two whole, coherent, but incompatible ways of experiencing the world. The left hemisphere is detail oriented, prefers mechanisms to living things & is inclined to self-interest. The right hemisphere has greater breadth, flexibility & generosity. This division helps explain the origins of music & language, & casts new light on the history of philosophy, as well as on some mental illnesses. The 2nd part of the book takes a journey thru the history of Western culture, illustrating the tension between these two worlds as revealed in the thought & belief of thinkers & artists, from Aeschylus to Magritte. He argues that, despite its inferior grasp of reality, the left hemisphere is increasingly taking precedence in the modern world, with potentially disastrous consequences.List of IllustrationsAcknowledgmentsIntroductionAsymmetry and the brain --What do the two hemispheres 'do'? --Language, truth and music --The nature of the two worlds --The primacy of the right hemisphere --The triumph of the left hemisphere --Imitation and the evolution of culture --The ancient world --The Renaissance and the Reformation --The Enlightenment --Romanticism and the Industrial Revolution --The modern and post-modern worldsConclusionNotes BibliographyIndex

    At her rural homestead an adopted pony mingled with llamas, goats, emus, and dozens of other creatures, familiar and exotic. But Carole’s expressed desire to help others extended beyond the animals she took in. It extended beyond her meager resources, even beyond the children she insisted she loved, yet sometimes left neglected in a surreal world of danger. Finally, in the remote reaches of Utah’s Great Basin, Carole Alden shot and killed her husband. Dragging his heavy body from the house, she headed for a makeshift grave. Was the murder self-defense? Premeditated? Or was something else altogether at hand? In this searing exploration of deadly codependency, the author takes the reader on a spellbinding voyage of discovery that examines the questions: Are some people naturally too caring? Is caring sometimes a mask for darker motives? Can science help us understand how our concerns for others can hurt everything we hold dear? This gripping story brings extraordinary insight to our deepest questions. Is kindness always the right answer? Is kindness always what it seems?

    In Elephants on Acid, Boese details the results of this scientific trial, as well as answers to the questions: Why can't people tickle themselves? Would the average dog summon help in an emergency? Will babies instinctually pick a well-balanced diet? Is it possible to restore life to the dead? Read on to find out...

    We take for granted that we can remember, feel emotion, navigate, empathize, and understand the world around us, but how would our lives change if these abilities were dramatically enhanced--or disappeared overnight?Helen Thomson has spent years traveling the world, tracking down incredibly rare brain disorders. In Unthinkable she tells the stories of nine extraordinary people she encountered along the way. From the man who thinks he's a tiger to the doctor who feels the pain of others just by looking at them to a woman who hears music that’s not there, their experiences illustrate how the brain can shape our lives in unexpected and, in some cases, brilliant and alarming ways.Story by remarkable story, Unthinkable takes us on an unforgettable journey through the human brain. Discover how to forge memories that never disappear, how to grow an alien limb, and how to make better decisions. Learn how to hallucinate and how to make yourself happier in a split second. Find out how to avoid getting lost, how to see more of your reality, even how exactly you can confirm you are alive. Think the unthinkable.

    From the October 2007 issue of Harvard Business Review.

    Brought up in Washington, DC, in an abusive family, she went to Harvard, where she met her husband. They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia, when he told her he couldn't move with her. Her marriage at an end, Harper began her new life in a new city, in a new job, as a newly single woman.In the ensuing years, as Harper learned to become an effective ER physician, bringing insight and empathy to every patient encounter, she came to understand that each of us is broken—physically, emotionally, psychically. How we recognize those breaks, how we try to mend them, and where we go from there are all crucial parts of the healing process.The Beauty in Breaking is the poignant true story of Harper's journey toward self-healing. Each of the patients Harper writes about taught her something important about recuperation and recovery. How to let go of fear even when the future is murky. How to tell the truth when it's simpler to overlook it. How to understand that compassion isn't the same as justice. As she shines a light on the systemic disenfranchisement of the patients she treats as they struggle to maintain their health and dignity, Harper comes to understand the importance of allowing ourselves to make peace with the past as we draw support from the present. In this hopeful, moving, and beautiful book, she passes along the precious, necessary lessons that she has learned as a daughter, a woman, and a physician.

    As a pragmatic, hands-on guide for beginning to intermediate hobbyists, The Conscientious Marine Aquarist demystifies the process of planning, setting up, stocking, and managing a beautiful, thriving slice of the tropical ocean. A leading advocate for the responsible collection and care of wild-caught specimens, Fenner starts with the basics -- "What is a fish?" -- and proceeds to give the reader the scientific background and expert-level secrets to being a smarter consumer, better steward, and more successful marine aquarium keeper.

    It was only some sixty years ago that researchers discovered REM, the rapid-eye-movement cycle that's associated with dreams. In Nightmareland, Lex Lonehood Nover travels into the eerie borderlands where the unconscious, dreams, and strange entities intermingle under the cover of night, revealing wider and hidden aspects of ourselves, from the savage and frightening to the astounding and sublime.Encompassing accepted medical phenomena such as sleep paralysis, parasomnias, and Ambien zombies, and the true-crime casebook of those who kill while sleepwalking, to supernatural elements such as the incubus, alien abduction, and psychic attacks, Nover brings readers on an extraordinary journey through history, folklore, and science, to help us understand what happens when we sleep.

    Why does music evoke such powerful moods? The answers are at last be- coming clear, thanks to revolutionary neuroscience and the emerging field of evolutionary psychology. Both a cutting-edge study and a tribute to the beauty of music itself, This Is Your Brain on Music unravels a host of mysteries that affect everything from pop culture to our understanding of human nature, including: • Are our musical preferences shaped in utero? • Is there a cutoff point for acquiring new tastes in music? • What do PET scans and MRIs reveal about the brain’s response to music? • Is musical pleasure different from other kinds of pleasure?This Is Your Brain on Music explores cultures in which singing is considered an essential human function, patients who have a rare disorder that prevents them from making sense of music, and scientists studying why two people may not have the same definition of pitch. At every turn, this provocative work unlocks deep secrets about how nature and nurture forge a uniquely human obsession.

    We like to imagine that it’s based on evidence and the results of fair tests. In reality, those tests are often profoundly flawed. We like to imagine that doctors are familiar with the research literature surrounding a drug, when in reality much of the research is hidden from them by drug companies. We like to imagine that doctors are impartially educated, when in reality much of their education is funded by industry. We like to imagine that regulators let only effective drugs onto the market, when in reality they approve hopeless drugs, with data on side effects casually withheld from doctors and patients.All these problems have been protected from public scrutiny because they’re too complex to capture in a sound bite. But Dr. Ben Goldacre shows that the true scale of this murderous disaster fully reveals itself only when the details are untangled. He believes we should all be able to understand precisely how data manipulation works and how research misconduct on a global scale affects us. In his own words, “the tricks and distortions documented in these pages are beautiful, intricate, and fascinating in their details.” With Goldacre’s characteristic flair and a forensic attention to detail, Bad Pharma reveals a shockingly broken system and calls for something to be done. This is the pharmaceutical industry as it has never been seen before.

    Dr. Manheimer describes the plights of twelve very different patients--from dignitaries at the nearby UN, to supermax prisoners at Riker's Island, to illegal immigrants, and Wall Street tycoons.Manheimer was not only the medical director of the country's oldest public hospital for over 13 years, but he was also a patient. As the book unfolds, the narrator is diagnosed with cancer, and he is forced to wrestle with the end of his own life even as he struggles to save the lives of others.